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CommuniCare Health Services · 23 hours ago

Manager of Managed Care and Contracting

Ohio, United States

Full-time

Onsite

Mid Level

CommuniCare Health Services is a fast-growing provider of long-term care with facilities located throughout 6 states. They are seeking a Manager of Managed Care and Contracting responsible for securing managed care contracts and overseeing the full managed care contract life-cycle support, including negotiations and revenue development.

Health CareHealth DiagnosticsHome Health Care

Hiring Manager

Lizzy Hull

Responsibilities

Develop and implement strategic plan regarding payors

Renegotiate reimbursement on an annual basis

Oversee and leverage existing payor relationships

Identify the objectives necessary for our company to succeed as a health care system

Provide support and education related to managed care

Train and educate on Managed Care and serve as a subject matter expert on contract and reimbursement-related issues impacting our industry

Position may also be assigned to direct supervise certain employee/s

Qualification

Managed Care contractingContract negotiationsBehavioral health experienceClaims pricing knowledgeAnalytical skillsMicrosoft Office proficiencyTechnical aptitudePresentation skillsCommunication skillsProblem-solving skillsProject management

Required

Experience with behavioral health hospitals, substance abuse treatment centers, and medical transportation contracting

Knowledge and relevant work experience in the Managed Care/insurance sectors including network planning/development, contract negotiations, etc

Presentation experience, excellent written and verbal communication skills

Proficient knowledge of medical-contracting methodologies, claims pricing, and reimbursement strategies

Independent thinking and decision-making skills

Strong analytical and problem-solving skills with attention to detail

Proficient computer skills and knowledge of Microsoft Office, specifically Excel

Ability to prioritize and manage multiple projects

Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction